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General NPI Number Information
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NPI Number | 1295453603
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Entity Type | Individual
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Provider Name | YENYI CHEN L.AC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 4425 JAMBOREE RD STE 140
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3010
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Country | US
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Telephone | 714-987-1189
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Fax |
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Provider Business Mailing Address
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Address Line | 3725 MAUNA LOA ST
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City | BREA
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State | CA
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Zip | 92823-6328
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC10234
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License Number State | CA
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